SOUTHERN CALIF. NEPHROLOGISTS MEDICAL ASSOCIATES INC.
NPI 1184735235
Internal Medicine - Nephrology in Montebello, CA

Active since August 31, 2006
101 E BEVERLY BLVD, SUITE #304, MONTEBELLO, CA 90640(323) 722-7418(323) 722-7894 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Calif. Nephrologists Medical Associates Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CALIF. NEPHROLOGISTS MEDICAL ASSOCIATES INC. (NPI 1184735235) is a healthcare organization registered as a nephrology in Montebello, California and active in the NPI registry since August 2006. The organization lists Dorsa F. Maryska, M.d./president, as its authorized official.

NPPES Registry Identity

NPI1184735235
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY SPECIALISTS MEDICAL CORPORATION
Location Address101 E BEVERLY BLVD, SUITE #304Montebello, CA 90640-4300
Mailing Address101 E Beverly Blvd, Suite #304Montebello, CA 90640-4300 · (323) 722-7418 · Fax (323) 722-7894
Fax(323) 722-7894
Organization SubpartNo
Authorized OfficialDorsa F. MaryskaM.d./president · (323) 722-7418
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1184735235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
101 E BEVERLY BLVD, Montebello, CA 90640

Other Names 1

Other NameSouthern Calif. Nephrologists Medical Associates Inc.

Other Identifiers 1

MedicaidGR0080920CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Calif. Nephrologists Medical Associates Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southern Calif. Nephrologists Medical Associates Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nephrology
NPI 1851598866
101 E BEVERLY BLVD STE 304
Montebello, CA 90640
(323) 722-7418
✔ PECOSSame address
Nurse Practitioner
NPI 1831737162
101 E BEVERLY BLVD
Montebello, CA 90640
(323) 722-7418
✔ PECOSSame address
Nephrology
NPI 1629363106
101 E BEVERLY BLVD STE 304
Montebello, CA 90640
(323) 722-7418
✔ PECOSSame address
Nephrology
NPI 1548370638
101 E BEVERLY BLVD # 304
Montebello, CA 90640
(323) 722-7418
✔ PECOSSame address
Internal Medicine
NPI 1265587075
12401 WASHINGTON BLVD
Whittier, CA 90602
(562) 698-0811
✔ PECOS4.2 mi
Nephrology
NPI 1386959872
7601 E. IMPERIAL HWY
Downey, CA 90242
(562) 401-7952
✔ PECOS6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Specialists Medical Corporation's NPI number?

The NPI number for Kidney Specialists Medical Corporation is 1184735235. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is also known as Southern Calif. Nephrologists Medical Associates Inc..

Where is Kidney Specialists Medical Corporation located?

Kidney Specialists Medical Corporation is located at 101 E Beverly Blvd Suite #304, Montebello, CA 90640. The listed phone number is (323) 722-7418.

What is Kidney Specialists Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kidney Specialists Medical Corporation enrolled in Medicare?

Yes. Kidney Specialists Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Specialists Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Specialists Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (4), Internal Medicine (1) and Nurse Practitioner (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Specialists Medical Corporation accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kidney Specialists Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Specialists Medical Corporation was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.